As I mentioned before, the patient must have organic disease, such as involvement of the coronary arteries, which is unusual for young patients.

The patient should go see a primary care physician, have an electrocardiogram, I Holter test if required, and in the event she is very symptomatic, such as having insomnia in combination with palpitations I will provide m symptomatic medication.

In brief:
In young patients, very unusual

As I mentioned before, the patient must have organic disease, such as involvement of the coronary arteries, which is unusual for young patients.

The patient should go see a primary care physician, have an electrocardiogram, I Holter test if required, and in the event she is very symptomatic, such as having insomnia in combination with palpitations I will provide m symptomatic medication.
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